A5090553186- Ultrasound in Clinical Applications
- Trauma Management and Diagnosis
- Pleural and Pulmonary Diseases
- Appendicitis Diagnosis and Management
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Airway Management and Intubation Techniques
- Abdominal Trauma and Injuries
- Tracheal and airway disorders
- Intraperitoneal and Appendiceal Malignancies
- Cardiac, Anesthesia and Surgical Outcomes
- Radiation Dose and Imaging
- Soft tissue tumor case studies
- Sarcoma Diagnosis and Treatment
- Colorectal Cancer Surgical Treatments
- Hernia repair and management
- Congenital Diaphragmatic Hernia Studies
- Trauma and Emergency Care Studies
- Esophageal and GI Pathology
- Pregnancy-related medical research
- Cardiac Arrest and Resuscitation
- Radiology practices and education
- Lung Cancer Diagnosis and Treatment
- Neurofibromatosis and Schwannoma Cases
- Surgical site infection prevention
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2016-2025
Universidade de São Paulo
2016-2024
Universidade Brasil
2024
Selective management of penetrating neck injuries has been considered the standard care with minimal risks to patient safety. In a previous non-randomized prospective study conducted at our center, selective proved be safe and reduced unnecessary exploratory cervicotomies. present study, role clinical examination diagnostic tests were assessed by reviewing demographic data. A comparison results between two groups (mandatory surgical exploration versus exploration) was made check safety in...
Abstract Introduction Hemorrhage is a major cause of preventable trauma deaths, and the ABC approach widely used during primary survey. We hypothesize that prioritizing circulation over intubation (CAB) can improve outcomes in patients with exsanguinating injuries. Methods A prospective observational study involving international centers was conducted. Patients systolic blood pressure below 90 who were intubated within 30 min arrival included. Prioritizing defined as delaying until products...
The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad other responsibilities. From April to May 2023, we conducted CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, logistic regression (SPSS
Desmoid-type fibromatosis is a benign mesenchymal neoplastic process. It exhibits an uncertain growth pattern and high recurrence rate. Previously radical surgical resection was the mainstay of treatment, but recently more surgeons are opting for conservative management with observation ("wait see" policy). The authors intend to evaluate different therapeutic modalities oncological outcomes abdominal wall desmoid tumors.We performed retrospective study patients who underwent surgical,...
Colorectal cancer is one of the most frequent types malignant neoplasms. Age a risk factor for this disease, with 75% cases diagnosed in patients older than 65 years. Complications such as obstruction, hemorrhage, and perforation are present more one-third require emergency treatment. We aim to analyze profile elderly undergoing surgery complicated colorectal cancer, evaluate factors related worse short-term prognosis.A retrospective analysis who underwent surgical treatment was performed....
Blue Rubber Bleb Nevus Syndrome (BRBNS) is a rare condition which usually manifests as multiple hemangioma-like skin and gastrointestinal lesions. The latter often present with chronic bleeding. There no consensus regarding the optimal management of such patients. Although rare, complications intestinal intussusception might occur, demanding surgical treatment. Postoperative coagulation disorders can increase morbidity should be timely addressed. This first report life-threatening...
Abdominal wall desmoid type fibromatosis management has been changing over recent years, from an aggressive approach towards a more conservative one. When radical resection is indicated, the surgical team faces challenge of abdominal reconstruction, for which optimal technique still debated. The present study reports experience single center with closures after resection.Retrospective analysis patients who underwent closure sporadic 1982 to 2013.Twenty-seven were included, mean tumor...
Objectives: Timing of tracheostomy in patients with COVID-19 has attracted substantial attention. Initial guidelines recommended delaying or avoiding due to the potential for particle aerosolization and theoretical risk providers. However, early could improve patient outcomes alleviate resource shortages. This study compares a diverse population hospitalized who underwent either “early” (within 14 d intubation) “late” (more than after intubation). Design: International multi-institute...
the barriers to implement emergency laparoscopy in public teaching hospitals involve issues such as resident learning curves and resource costs availability. This study was designed describe facing implementation of laparoscopic approach for acute appendicitis over 15 years a single academic center Brazil.retrospective patients undergoing appendectomy from 2004 2018. Clinical data were compared four major actions implemented surgical service: minimally invasive surgery training residents...
The benefits of implementing point-of-care ultrasound (POCUS) in the emergency department are well established. Ideally, physicians should be taught POCUS during medical school. Several different courses have been designed for that purpose and yielded good results. However, students need specifically address main objectives knowledge acquisition retention. Despite that, there is limited evidence to support retention, especially mid-term. this study evaluate short- mid-term retention after a...
Type 1 Neurofibromatosis (NF1) is one of the most common autosomal dominantly inherited multisystem disorders. It associated with an increased risk developing neurologic and gastrointestinal (GI) malignant neoplasms. The incidence GI involvement reported in 10-25% patients. Less than 5% NF1 patients neoplasms manifest symptoms. presence synchronic stromal neuroendocrine tumors rare these patients.The first case a 37 year-old male patient history abdominal pain for few months. Imaging study...
ABSTRACT The COVID-19 Pandemic has resulted in a high number of hospital admissions and some those patients need ventilatory support intensive care units. viral pneumonia secondary to Sars-cov-2 infection may lead acute respiratory distress syndrome (ARDS) longer mechanical ventilation needs, resulting higher demand for tracheostomies. Due the aerosolization potential such procedure, associated risks staff envoirenment contamination, it is necesseray develop specific standardization whole...
Percutaneous tracheostomy has been considered the standard method today, bronchoscopy-guided technique being most frequently performed. A safe alternative is ultrasound-guided percutaneous tracheostomy, which can be carried out by surgeon, avoiding logistical difficulties of having a specialist in bronchoscopy. Studies prove that efficacy and safety are similar when compared to one. Thus, it paramount importance surgeons have as viable beneficial open procedure. In this article, we describe...